CMS-1500 Box 24J / 33a • NPI
1114665866
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
2605 KENTUCKY AVENUE, MED PARK 3, SUITE 304, PADUCAH, KY, 42003
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114665866 (LEAH ROSE FARLEY, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1114665866)
Medicare Beneficiaries
88
Total Billed Services
144
Distinct CPT/HCPCS Codes
4
Medicare Allowed Total
$1,668.43
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
81002 | Urinalysis, manual test | 51 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 70 |
87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 22 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 | <11 |
| Amoxicillin Amoxicillin | 20 | 20 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 31 | 29 |
| Azithromycin Azithromycin | 41 | 40 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 11 | <11 |
| Cephalexin Cephalexin | 14 | 14 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 11 | <11 |
| Donepezil Hcl Donepezil Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114665866 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LEAH ROSE FARLEY, APRN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2605 KENTUCKY AVENUE, MED PARK 3, SUITE 304, PADUCAH, KY, 42003 |
| Practice Telephone / Fax | Tel: (270) 415-4820 | Fax: (270) 415-4819 |
| Administrative Mailing Address | 2838 NORTH AVE, METROPOLIS, IL, 62960-2900 |
| Enumeration & Last Sync | Enumerated: 2022-05-23 | CMS Record Updated: 2026-03-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LEAH ROSE FARLEY, APRN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: IL | License: 209026210 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: KY | License: 4049163 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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